Search is unavailable while you are offline.
Sign Up
/
Sign In

You are not connected to the internet and now in offline mode. Only pages or articles you visited while connected will be available.

  1. Virtual Library
  2. Anaesthesia Tutorial of the Week
  3. Thoracic Paravertebral Block: Landmark Techniques

Get notified when a new tutorial is published!

Regional Anaesthesia

Tutorial 224

Thoracic Paravertebral Block: Landmark Techniques

Dr Mark Dodd and Dr John Hunsley

Northern General Hospital, Sheffield, UK

Correspondence to mark.dodd@sth.nhs.uk

23RD MAY 2011

Abstract

Thoracic paravertebral blocks can be used as analgesia for abdominal and thoracic surgery and also in chronic pain.
Thoracic paravertebral block has a similar analgesic efficacy and complication rate to other forms of thoracic regional anaesthetic techniques.
Longitudinal spread of local anaesthetic is unpredictable with a single injection. Multiple injections are recommended.
Due the large volume of LA needed, doses should be calculated before starting a PVB.
The antero-posterior distance of the PVS is shallow. If the needle is advanced more than 1cm past the transverse process there is greater risk of pneumothorax.

creative commons

This work by WFSA is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/